Organization
SOUTHSIDE HOSPITAL
Active
Other names
Rehabilitation Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE LEE CUSACK (SENIOR VICE PRESIDENT & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(516) 876-6065
(516) 876-5572
Mailing address
972 BRUSH HOLLOW RD FL 5, WESTBURY, NY 11590-1740
(516) 876-6065
(516) 876-5572
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
5154000H
NY
Other
Enumeration date
08/04/2006
Last updated
08/07/2025
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